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COMPLIANCE INFO_2022
Environmental Health - Public
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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18806
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2300 - Underground Storage Tank Program
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PR0232388
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COMPLIANCE INFO_2022
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Entry Properties
Last modified
12/21/2022 8:47:44 AM
Creation date
3/28/2022 4:39:09 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO
FileName_PostFix
2022
RECORD_ID
PR0232388
PE
2361
FACILITY_ID
FA0003607
FACILITY_NAME
WOODBRIDGE AM PM*
STREET_NUMBER
18806
Direction
N
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
WOODBRIDGE
Zip
95258
APN
01543010
CURRENT_STATUS
01
SITE_LOCATION
18806 N LOWER SACRAMENTO RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
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SJGOV\kblackwell
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EHD - Public
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18806 N Lower Sacramento Rd, Woodbridge Record ID PR0232388 <br /> 4/25/2022 UST Inspection <br /> Photo 2: Section 6 of several desi nated o erator re orts were incom lete and missing the printed name of the UST owner/operator. <br /> Underground Storage Tank <br /> Designated UST Operator Visual Inspection Report <br /> S:OWNERIaPERATOR DESCRIPTION OF FOLLOW-IIPACTIOIY f <br /> r <br /> � i�Number the fallow up actfvns to correspond to apprppriafe compliance issues From Section 3. p <br /> i <br /> 1 <br /> 1 <br /> r <br /> r <br /> f <br /> OWNER l OPERgTOR ACKNOWLEDGEMENT OF I <br /> ' f have reviewed the resutrs of the designated UST opera <br /> NSPECTtpiV RSS <br /> c description of the actlan(sJ taken or to be taken to correct an _ ! <br /> C Name of UST tor inspection report and Provided a <br /> L [ owner/Operator(print) Y compliance issues discovered. <br /> S7 nef0peratorSignature <br /> a hate Signet( <br /> 11SPFCTionHas F{1 OST Ry ZX <br /> Operator lnsllow op action of 5ec".3 from the <br /> (Attach de Port Ree Nog acPmpleted appAoprilatefy?e$j9nated UST Yes <br /> station <br /> N 9.REZEA5E pETgCiION q ppropriale service to this report.) No NA <br /> Attac t HARM HISTO EJ q <br /> hacopyefthea w <br /> ( Is the !ate history rep—, <br /> , <br /> monitoring system powered g to this report <br /> Has each alarm on and In proper o Yes <br /> !Attach since the previous i Posting mode? No NA <br /> documentation ve»tyts inspect- been ❑ <br /> "Ile <br /> a a all containment sum 9 appropriate service msh Snded toMport appropriately? <br /> eed UST operator nspeh 1 on ve had an alamt since he previoys ❑ ❑ ✓❑ <br /> n clinician? sPon,been responded to <br /> by a q aaii€ied El ❑ zArr answers marked-1Imust be described by the designatI UST <br /> oAeratortn Section 3. <br /> Page 2 of 4 <br /> John Alaniz, REHS Page 2 of 2 <br />
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